Organization
BLACK ACRE EMERGENCY PHYSICIANS MEDICAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN C DAWSON MD (OWNER)
(817) 451-4208
Entity
Organization
Contact information
Practice address
100 MEDICAL PKWY, LAKEWAY, TX 78738-5621
(817) 451-4208
(817) 563-3699
Mailing address
PO BOX 8292, FORT WORTH, TX 76124-0292
(817) 451-4208
(817) 563-3699
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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